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Management of the Pregnant Woman Diagnosed with HIV Infection while in Labor

You answered:

B A single oral dose of nevirapine should be given to her immediately, along with a dose of oral zidovudine plus lamivudine, with continuation of the zidovudine plus lamivudine for one week postpartum. Her infant should receive prophylaxis with daily oral nevirapine starting at birth and continued until one week after breastfeeding has stopped.

This answer is correct. Guidelines issued by the WHO advise prompt administration of antiretrovirals to the mother in this scenario, including single-dose nevirapine and a one-week 'tail' of zidovudine-lamivudine to reduce the risk of maternal antiretroviral resistance. Antiretroviral prophylaxis should be started for the infant following delivery and continued throughout the breastfeeding period.

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